Kaitlyn Anna Mason
Individual provider Active NPI Family Nurse Practitioner · Hawkinsville, GA
NPI 1609519586 · NPPES record last updated Dec 27, 2024
Key facts
- NPI
- 1609519586
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN239229 (GA)
- Practice address
- 37 341 Byp
Hawkinsville, GA 31036-4839 - Phone
- (478) 845-4842
- Fax
- (833) 606-0577
- NPI assigned
- Apr 18, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Access Medical Clinic Georgia LLC
Practice addresses (Care Compare)
37 Hwy 341 Bypass
Hawkinsville, GA 31036
Phone (870) 856-1202
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220620001813 | GA | Practitioner - Nurse Practitioner | 4183003254 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Medical Clinic Georgia LLC | Current |
Accepting new patients | |
| Access Medical Clinic Georgia LLC | Current | Accepting new patients | |
| Access Medical Clinic Georgia LLC | Current |
Accepting new patients |
Locations
4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100
37 341 Byp
Hawkinsville, GA 31036
Phone (478) 845-4842
500 Stanley St
Perry, GA 31069
Phone (229) 463-7071
Interoperability endpoints
- https://api.platform.athenahealth.com/22235/brand/1/csg/1/fhir/r4
- kaitlyn.mason.1@22235.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN239229 | GA | Yes |
Addresses
Primary practice location
37 341 Byp
Hawkinsville, GA 31036-4839
Mailing address
4196 Highway 62 412 Ste a
Hardy, AR 72542-8002
Other providers in Hawkinsville, GA
- M. Keith Lewis, M.D.
- Macon Orthopaedic & Hand Center PA
- Rachael Childress Marrone
- Gregory Ashley Martin
- Courtney Walker Mason
- Laura McDonald
- Michael K. McFadden
- Catherine W McUmber
- Med R US
- Brook Medley
All providers in Hawkinsville, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.